Hal Mika/Medical Record

	Hal Mika Patient Reference Number: 0A - 833 - 209 Date of Birth: 237103.15 Age: 30 Sex: Male Species: Ba'ku
		MEDICAL RECORD
	Height: 178 cm, 5' 10" Weight: 70.3 kg. 150 lbs Blood Type: A- T/E Rating: T0
	PAST MEDICAL HISTORY Chronic Illnesses: None Medications: None Allergies and Reactions: None Sexual/Reproductive History: None
	PAST HOSPITALIZATIONS/SERIOUS ILLNESS None PAST SURGICAL HISTORY None
	PSYCHIATRIC HISTORY None SUBSTANCE USE HISTORY Alcohol: Infrequent Recreation Drugs: None Other: None
	FAMILY MEDICAL HISTORY Parent 1 (Mother): None Parent 2 (Father): No hereditary medical conditions Siblings: No hereditary medical conditions
	SOCIAL HISTORY Marital status: Single Children: None Occupation/Assignment: Starfleet Counselor Diet: Balanced Exercise: Minimal,regular rock climbing
	PHYSICIANS' NOTES
	COUNSELORS' NOTES